LONGCHENG SU MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618394

License Status

NOT RENEWED

Business

Business Name

LONGCHENG SU MD SC

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

01/01/2006

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006